Covered Entity Details

CAH171383-10 William Newton Memorial Hospital (Active) - information as of 4/25/2025 6:29:46 PM

Main Details

Name

William Newton Memorial Hospital

Subdivision Name

Winfield Surgery & Services - Surgery

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH171383-10

Medicare Provider Number

171383

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

1/13/2022

Participating Start Date

4/1/2022

Participating Approval Date

1/21/2022

Last Recertification Date

9/3/2024

Contacts

Authorizing Official

William Newton Hospital
Brian Barta, CEO
(620) 221-2300 Ext: 1101

Primary Contact

William Newton Hospital
Kelle L Thompson, Director of Pharmacy
(620) 222-6206

Addresses

Street Address

1230 E 6th Avenue
2B
Winfield, KS 67156

Billing Address

William Newton Hospital
1300 E 5th St
Winfield, KS 67156

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
KS	30003939900017	1548229149

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH171383-01	Child	CAH	William Newton Memorial Hospital	Dexter Rural Health Center	204 North Main	Dexter	KS	Active
CAH171383-02	Child	CAH	William Newton Memorial Hospital	Moline Rural Health Center	200 North Plum	Moline	KS	Active
CAH171383-03	Child	CAH	William Newton Memorial Hospital	Tallgrass Rural Health Center	300 W North Street	Sedan	KS	Active
CAH171383-04	Child	CAH	William Newton Memorial Hospital	Cedar Vale Rural Health Center	508 Washington	Cedar Vale	KS	Active
CAH171383-05	Child	CAH	William Newton Memorial Hospital	Health Professionals of Winfield	1230 E 6th	Winfield	KS	Active
CAH171383-06	Child	CAH	William Newton Memorial Hospital	William Newton Orthopaedic Clinic - Orthopaedics	1305 E 5th Ave	Winfield	KS	Active
CAH171383-07	Child	CAH	William Newton Memorial Hospital	William Newton Cardiology - Cardiology	1230 E 6th Avenue	Winfield	KS	Active
CAH171383-08	Child	CAH	William Newton Memorial Hospital	William Newton Pediatrics - Pediatrics	1230 E 6th Avenue	Winfield	KS	Active
CAH171383-09	Child	CAH	William Newton Memorial Hospital	William Newton Foot & Ankle - Podiatry	1305 E 5th Street	Winfield	KS	Active
CAH171383-10	Child	CAH	William Newton Memorial Hospital	Winfield Surgery & Services - Surgery	1230 E 6th Avenue	Winfield	KS	Active
CAH171383-11	Child	CAH	William Newton Memorial Hospital	William Newton Hillside Family Medicine	1700 E 9TH AVE	WINFIELD	KS	Active
CAH171383-12	Child	CAH	William Newton Memorial Hospital	Sunflower OB/Gyn at William Newton Hospital - Obstetrics & Gynecology	1230 E 6th Ave	Winfield	KS	Active
CAH171383-13	Child	CAH	William Newton Memorial Hospital	Winfield Surgery & Services - Surgery - Surgery	1230 E 6th Ave	Winfield	KS	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Billing Address	Insert	Recertification		William Newton Hospital 1300 E 5th St Winfield, KS 67156	9/3/2024 7:57 AM
Details	Last Recertification Date	Update	Recertification	9/7/2023 10:11:58 PM	9/3/2024 7:57:59 AM	9/3/2024 7:57 AM
Details	Entity Subname	Update	Recertification	Winfield Surgery & Services - Surgery, Rheumatology	Winfield Surgery & Services - Surgery	9/3/2024 7:57 AM
Contacts	Authorizing Official	Update	Profile Change Request	Barta, Brian CEO William Newton Hospital 6202212300-1104	Barta, Brian CEO William Newton Hospital 6202212300-1101	4/10/2024 3:16 PM
Details	Last Recertification Date	Update	Recertification	9/13/2022 5:54:50 PM	9/7/2023 10:11:58 PM	9/7/2023 10:11 PM
Medicaid Billing	Medicaid: Number	Delete	Change Request	10005090A (KS)		2/6/2023 2:26 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	2/6/2023 2:26 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		30003939900017	2/6/2023 2:26 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		KS	2/6/2023 2:26 PM
Contacts	Authorizing Official	Update	Profile Change Request	Barta, Brian CFO William Newton Hospital 6202212300-1104	Barta, Brian CEO William Newton Hospital 6202212300-1104	1/31/2023 6:32 AM
Details	Last Recertification Date	Update	Recertification		9/13/2022 5:54:50 PM	9/13/2022 5:54 PM
Contacts	Authorizing Official	Update	AO Change Request	Quinton, Jeffery Benjamin CEO William Newton Hospital 6202212300-101	Barta, Brian CFO William Newton Hospital 6202212300-1104	9/6/2022 12:58 PM
Details	State	Update		Approved	Active	4/1/2022 12:01 AM
Contacts	Signed By	Insert	New Registration		Quinton, Jeffery Benjamin CEO William Newton Hospital 6202212300-101	1/21/2022 2:22 PM
Details	340B ID	Update	New Registration		CAH171383-10	1/21/2022 2:22 PM
Details	Entity Name	Update	New Registration	WILLIAM NEWTON MEMORIAL HOSPITAL	William Newton Memorial Hospital	1/21/2022 2:22 PM
Details	Entity Subname	Update	New Registration	Winfield Surgery & Services	Winfield Surgery & Services - Surgery, Rheumatology	1/21/2022 2:22 PM
Dates	Participating Approval Date	Update	New Registration		1/21/2022 2:22:22 PM	1/21/2022 2:22 PM
Details	State	Update	New Registration	Pending	Approved	1/21/2022 2:22 PM
Dates	Signed By Date	Update	New Registration		1/13/2022 3:22:15 PM	1/21/2022 2:22 PM
Dates	Start Date	Update	New Registration		4/1/2022 12:00:00 AM	1/21/2022 2:22 PM
Addresses	Main Address	Insert	New Registration		1230 E 6th Avenue 2B Winfield, KS 67156	1/13/2022 1:36 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	1/13/2022 1:36 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		10005090A	1/13/2022 1:36 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		KS	1/13/2022 1:36 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1548229149	1/13/2022 1:36 PM
Medicaid Billing	NPI: State	Insert	New Registration		KS	1/13/2022 1:36 PM
Contacts	Authorizing Official	Insert	New Registration		Quinton, Jeffery Benjamin CEO William Newton Hospital 6202212300-101	1/13/2022 1:36 PM
Contacts	Primary Contact	Insert	New Registration		Thompson, Kelle L Director of Pharmacy William Newton Hospital 6202226206	1/13/2022 1:36 PM
Details	Assistance Received From Date	Insert	New Registration			1/13/2022 1:36 PM
Details	Assistance Received To Date	Insert	New Registration			1/13/2022 1:36 PM
Details	Last Recertification Date	Insert	New Registration			1/13/2022 1:36 PM
Details	Grant Number	Insert	New Registration			1/13/2022 1:36 PM
Details	340B ID	Insert	New Registration			1/13/2022 1:36 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/13/2022 1:36 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/13/2022 1:36 PM
Details	Medicare Provider Number	Insert	New Registration		171383	1/13/2022 1:36 PM
Details	Entity Name	Insert	New Registration		WILLIAM NEWTON MEMORIAL HOSPITAL	1/13/2022 1:36 PM
Details	NOFO Number	Insert	New Registration			1/13/2022 1:36 PM
Details	Program Code	Insert	New Registration		CAH	1/13/2022 1:36 PM
Details	Entity Subname	Insert	New Registration		Winfield Surgery & Services	1/13/2022 1:36 PM
Dates	Participating Approval Date	Insert	New Registration			1/13/2022 1:36 PM
Details	State	Insert	New Registration		Pending	1/13/2022 1:36 PM
Dates	Registration Date	Insert	New Registration		1/13/2022 1:36:59 PM	1/13/2022 1:36 PM
Dates	Signed By Date	Insert	New Registration			1/13/2022 1:36 PM
Dates	Start Date	Insert	New Registration			1/13/2022 1:36 PM
Terminations	Termination Comments	Insert	New Registration			1/13/2022 1:36 PM
Terminations	Termination Date	Insert	New Registration			1/13/2022 1:36 PM
Terminations	Termination Effective Date	Insert	New Registration			1/13/2022 1:36 PM
Terminations	Termination Reason	Insert	New Registration			1/13/2022 1:36 PM